Patient Cost Transparency Implementation Guide
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Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Resource Profile: PCTGFEProfessional - Mappings

Page standards status: Trial-use Maturity Level: 2

Mappings for the davinci-pct-gfe-professional resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

PCTGFEProfessional
ClaimRequest
   identifierRequest.identifier
   identifier (PLAC)Request.identifier
   identifier (INTER)Request.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.supportingInfo
   supportingInfo (serviceFacility)Request.supportingInfo
   supportingInfo (claimFrequency)Request.supportingInfo
   diagnosisRequest.reasonReference
   diagnosis (principal)Request.reasonReference
   diagnosis (other)Request.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

PCTGFEProfessional
Claim
   identifierFiveWs.identifier
   identifier (PLAC)FiveWs.identifier
   identifier (INTER)FiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   careTeam (rendering)
      providerFiveWs.actor
   careTeam (referring)
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

Mappings for RIM Mapping (http://hl7.org/v3)

PCTGFEProfessional
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier
   identifier (PLAC)
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   identifier (INTER)
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   provider
      idn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   referral
      idn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam (rendering)
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam (referring)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (serviceFacility)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (claimFrequency)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (principal)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (other)
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      modifierExtensionN/A
   procedure (anesthesiaRelated)
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure (other)
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
      coverage
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
      location[x]
         idn/a
         extensionn/a
         useunique(./use)
         typeunique(./use)
         text./formatted
         lineAD.part[parttype = AL]
         cityAD.part[parttype = CTY]
         districtAD.part[parttype = CNT | CPA]
         stateAD.part[parttype = STA]
         postalCodeAD.part[parttype = ZIP]
         countryAD.part[parttype = CNT]
         period./usablePeriod[type="IVL<TS>"]
   item
      idn/a
      modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A